Nelsen, Maria
Nelsen, Maria was paid $163K by Medicaid between Jan 2018 and Aug 2022, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoNELSEN, MARIA
ELLIJAY, GA 30540
ELLIJAY, GA 30540
33aNPI1649386608assigned 08/22/2006
33bProvider typeOptometrist
28Total paid$163K
24GClaims4,788
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Optometrist providers in Georgia
Rank by total paid#16 of 71
Median peer was paid$10K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 805 | $28K | |
| 2019 | 1,286 | $43K | |
| 2020 | 1,080 | $37K | |
| 2021 | 985 | $35K | |
| 2022 | 632 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 40% | 1,442 | 1,290 | $66K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38% | 1,410 | 1,246 | $63K |
| 92015 | Determination of refractive state | 21% | 1,923 | 1,713 | $34K |
| 3072F | 0% | 13 | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.